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Ragil Bayu
2025-05-09 09:15:53 +07:00
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FHIR/Base/01 Individuals/01 Patient.json
+311
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{
"resourceType": "Patient",
"id" : "29",
"identifier" : [{
"use" : "usual",
"type": {
"coding" : [{
"system" : "",
"version" : "",
"code" : "RM",
"display" : "Rekamedik",
"userSelected" : true
}],
"text" : "RM"
},
"system" : "",
"value" : "11380880",
"period" : {"start" : "2020-08-12", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
},
{
"use" : "usual",
"type": {
"coding" : [{
"system" : "",
"version" : "",
"code" : "NIK",
"display" : "Nomor Induk Kependudukan",
"userSelected" : true
}],
"text" : "NIK"
},
"system" : "",
"value" : "3575016103120002",
"period" : {"start" : "2020-08-12", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
},
{
"use" : "usual",
"type": {
"coding" : [{
"system" : "",
"version" : "",
"code" : "KARTU",
"display" : "PBI Jaminan Kesehatan",
"userSelected" : true
}],
"text" : "KARTU"
},
"system" : "",
"value" : "0002086809142",
"period" : {"start" : "", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
},
{
"use" : "usual",
"type": {
"coding" : [{
"system" : "",
"version" : "",
"code" : "KK",
"display" : "Kartu Keluarga",
"userSelected" : true
}],
"text" : "KK"
},
"system" : "",
"value" : "3575016103120002",
"period" : {"start" : "", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
}],
"active" : true,
"name" : [{
"use" : "usual",
"text" : "Pramuditha Sulistyorini",
"family" : "Sulistyorini",
"given" : ["Pramuditha"],
"prefix" : ["An"],
"suffix" : [],
"period" : {"start" : "2012-03-21", "end" : ""}
}],
"telecom" : [{
"system" : "phone",
"value" : "(085) 743610892",
"use" : "mobile",
"rank" : "1",
"period" : {"start" : "","end" : ""}
}],
"gender" : "female",
"birthDate" : "2012-03-21",
"deceasedBoolean" : false,
"deceasedDateTime" : "",
"address" : [{
"use" : "home",
"type" : "both",
"text" : "JL Hasanuddin XI/03 RT 5/7 Karanganyar Panggungrejo Kota Pasuruan",
"line" : ["JL Hasanuddin XI/03 RT 5/7","Karanganyar"],
"village" : "Karanganyar",
"district" : "Panggungrejo",
"city" : "Pasuruan",
"state" : "Jawa Timur",
"postalCode": "67131",
"country" : "Indonesia",
"period" : {"start" : "","end" : ""},
"extension" : [{
"url" : "",
"extension" : [{
"url" : "state",
"valueDisplay": "Jawa Timur",
"valueCode" : "35"
},
{
"url" : "city",
"valueDisplay": "Pasuruan",
"valueCode" : "3575"
},
{
"url" : "district",
"valueDisplay": "Panggungrejo",
"valueCode" : "3575031"
},
{
"url" : "village",
"valueDisplay": "Karanganyar",
"valueCode" : "3575031007"
},
{
"url" : "rt",
"valueDisplay": "5",
"valueCode" : "5"
},
{
"url" : "rw",
"valueDisplay": "",
"valueCode" : ""
}
]
}]
}
],
"maritalStatus" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "BM",
"display" : "Belum Menikah",
"userSelected" : true
}],
"text" : "Belum Menikah"
},
"multipleBirthBoolean" : false,
"multipleBirthInteger" : 0,
"photo" : [{
"contentType" : "",
"language" : "",
"data" : "",
"url" : "",
"size" : 0,
"hash" : 0,
"title" : "",
"creation" : "",
"height" : 0,
"width" : 0,
"frames" : 0,
"duration" : 0,
"pages" : 0
}],
"contact" : [{
"relationship" : [{
"coding" : [{
"system" : "",
"version" : "",
"code" : "",
"display" : "",
"userSelected" : false
}],
"text" : ""
}],
"name" : {
"use" : "",
"text" : "",
"family" : "",
"given" : [],
"prefix" : [],
"suffix" : [],
"period" : {"start" : "","end" : ""}
},
"telecom" : [{
"system" : "",
"value" : "",
"use" : "",
"rank" : "",
"period" : {"start" : "","end" : ""}
}],
"address" : {
"use" : "",
"type" : "",
"text" : "",
"line" : [],
"city" : "",
"district" : "",
"state" : "",
"village" : "",
"postalCode": "",
"country" : "",
"period" : {"start" : "","end" : ""}
},
"gender" : "female",
"organization": {
"reference" : "",
"display" : ""
},
"period" : {"start" : "","end" : ""}
}],
"communication" : [{
"language": {
"coding": [{
"system" : "",
"version" : "",
"code" : "id",
"display" : "Indonesian",
"userSelected": true
}],
"text": "Bahasa Indonesia"
}
},
{
"language": {
"coding": [{
"system" : "",
"version" : "",
"code" : "md",
"display" : "Madura",
"userSelected": true
}],
"text": "Bahasa Madura"
}
}],
"link" : [{
"other": {
"reference" : "RelatedPerson/1",
"display" : ""
},
"type" : ""
}],
"extension" : [{
"url" : "",
"extension" : [{
"url" : "createdAt",
"valueDisplay": "",
"valueCode" : ""
},
{
"url" : "updatedAt",
"valueDisplay": "",
"valueCode" : ""
},
{
"url" : "birthPlace",
"valueDisplay": "Pasuruan",
"valueCode" : "3575"
},
{
"url" : "birthTime",
"valueDisplay": "2012-03-21T00:00:00-00:00",
"valueCode" : "2012-03-21T00:00:00-00:00"
},
{
"url" : "tribe",
"valueDisplay": "Jawa",
"valueCode" : "JW"
},
{
"url" : "national",
"valueDisplay": "Warga Negara Indonesia",
"valueCode" : "WNI"
},
{
"url" : "disability",
"valueDisplay": "Tidak Ada",
"valueCode" : "TA"
},
{
"url" : "religion",
"valueDisplay": "Islam",
"valueCode" : "IS"
},
{
"url" : "job",
"valueDisplay": "Belum Bekerja",
"valueCode" : "BB"
},
{
"url" : "education",
"valueDisplay": "Sekolah Dasar",
"valueCode" : "SD"
}]
}]
}
FHIR/Base/01 Individuals/02 Practitioner.json
+315
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{
"resourceType" : "Practitioner",
"id" : "",
"identifier" : [{
"use" : "usual",
"type" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "IDSIM",
"display" : "SIMRS ID",
"userSelected" : true
}],
"text" : "SIMRS ID"
},
"system" : "",
"value" : "3090",
"period" : {"start" : "", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
},
{
"use" : "usual",
"type" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "KDDPJP",
"display" : "Kode Dokter Penanggung Jawab",
"userSelected" : true
}],
"text" : "Kode Dokter Penanggung Jawab"
},
"system" : "",
"value" : "DL_025",
"period" : {"start" : "", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
},
{
"use" : "usual",
"type" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "NIP",
"display" : "Nomor Induk Pegawai",
"userSelected" : true
}],
"text" : "Nomor Induk Pegawai"
},
"system" : "",
"value" : "198609092019031004",
"period" : {"start" : "", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
},
{
"use" : "usual",
"type" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "NIK",
"display" : "Nomor Induk Kependudukan",
"userSelected" : true
}],
"text" : "NIK"
},
"system" : "",
"value" : "3507090909860001",
"period" : {"start" : "", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
},
{
"use" : "usual",
"type" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "HFIS",
"display" : "HFIS Code",
"userSelected" : true
}],
"text" : "HFIS"
},
"system" : "",
"value" : "32352",
"period" : {"start" : "", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
},
{
"use" : "usual",
"type" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "SATUSEHAT",
"display" : "SatuSehat Code",
"userSelected" : true
}],
"text" : "SATUSEHAT"
},
"system" : "",
"value" : "10014437630",
"period" : {"start" : "", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
}],
"active": true,
"name" : [{
"use" : "usual",
"text" : "dr.HERWINDO PUDJO BRAHMANTYO,Sp.PD",
"family" : "BRAHMANTYO",
"given" : ["HERWINDO","PUDJO"],
"prefix" : ["dr"],
"suffix" : ["Sp.PD"],
"period" : {"start" : "", "end" : ""}
}],
"telecom": [{
"system" : "phone",
"value" : "(081) 1365725",
"use" : "mobile",
"rank" : 1,
"period" : {"start" : "","end" : ""}
},
{
"system" : "email",
"value" : "herwindopudjo@yahoo.com",
"use" : "work",
"rank" : 1,
"period" : {"start" : "","end" : ""}
}],
"address": [{
"use" : "home",
"type" : "both",
"text" : "JL Pasuruan No 10 Malang",
"line" : ["JL Pasuruan No 10"],
"village" : "Karanganyar",
"district" : "Panggungrejo",
"city" : "Pasuruan",
"state" : "Jawa Timur",
"postalCode": "67131",
"country" : "Indonesia",
"period" : {"start" : "","end" : ""},
"extension" : [{
"url" : "",
"extension" : [{
"url" : "state",
"valueDisplay": "Jawa Timur",
"valueCode" : "35"
},
{
"url" : "city",
"valueDisplay": "Malang",
"valueCode" : "3573"
},
{
"url" : "district",
"valueDisplay": "Klojen",
"valueCode" : "3573030"
},
{
"url" : "village",
"valueDisplay": "Klojen",
"valueCode" : "3573030008"
},
{
"url" : "rt",
"valueDisplay": "",
"valueCode" : ""
},
{
"url" : "rw",
"valueDisplay": "",
"valueCode" : ""
}]
}]
}],
"gender" : "male",
"birthDate" : "1986-09-09",
"qualification" : [{
"identifier": [{
"use" : "usual",
"type" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "SIP",
"display" : "Surat Ijin Praktek",
"userSelected" : true
}],
"text" : "SIP"
},
"system" : "",
"value" : "",
"period" : {"start" : "2021-09-09", "end" : "2026-09-09"},
"assigner": {
"reference" : "",
"display" : ""
}
},
{
"use" : "usual",
"type" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "SPK",
"display" : "Surat Perintah Kerja",
"userSelected" : true
}],
"text" : "SPK"
},
"system" : "",
"value" : "",
"period" : {"start" : "2020-12-22", "end" : "2025-12-22"},
"assigner": {
"reference" : "",
"display" : ""
}
}],
"code": {
"coding": [{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0360/2.7",
"version" : "",
"code" : "MD",
"display" : "Doctor of Medicine",
"userSelected" : true
}],
"text": "Spesialis Penyakit Dalam"
},
"period": {"start" : "", "end" : ""},
"issuer": {
"reference" : "",
"display" : ""
}
}],
"communication": [{
"language": {
"coding": [{
"system" : "",
"version" : "",
"code" : "id",
"display" : "Indonesian",
"userSelected": true
}],
"text": "Bahasa Indonesia"
}
},
{
"language": {
"coding": [{
"system" : "",
"version" : "",
"code" : "en",
"display" : "English",
"userSelected": true
}],
"text": "Bahasa Inggris"
}
}],
"extension" : [{
"url" : "",
"extension" : [{
"url" : "createdAt",
"valueDisplay": "2025-02-19 08:04:55.000",
"valueCode" : "2025-02-19 08:04:55.000"
},
{
"url" : "updatedAt",
"valueDisplay": "2025-03-25 12:04:55.000",
"valueCode" : "2025-03-25 12:04:55.000"
},
{
"url" : "birthPlace",
"valueDisplay": "Malang",
"valueCode" : "3573"
},
{
"url" : "national",
"valueDisplay": "Warga Negara Indonesia",
"valueCode" : "WNI"
},
{
"url" : "religion",
"valueDisplay": "Islam",
"valueCode" : "IS"
},
{
"url" : "smf",
"valueDisplay": "Ilmu Penyakit Dalam",
"valueCode" : "IPD"
},
{
"url" : "category",
"valueDisplay": "RSUD dr. Saiful Anwar",
"valueCode" : "RSSA"
}]
}]
}
FHIR/Base/01 Individuals/04 RelatePerson.json
+167
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{
"resourceType" : "relatePerson",
"id" : "1",
"identifier" : [{
"use" : "usual",
"type": {
"coding" : [{
"system" : "",
"version" : "",
"code" : "NIK",
"display" : "Nomor Induk Kependudukan",
"userSelected" : true
}],
"text" : "NIK"
},
"system" : "",
"value" : "3575016103120005",
"period" : {"start" : "", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
}],
"active" : true,
"patient" :
{
"reference" : "",
"display" : ""
},
"relationship" : [{
"coding" :
[{
"system" : "",
"version" : "",
"code" : "PJP",
"display" : "Penanggung Jawab Pasien",
"userSelected" : true
}],
"text" : "Penanggung Jawab Pasien"
}],
"name" : [{
"use" : "usual",
"text" : "Jajang Suparjang",
"family" : "Suparjang",
"given" : ["Jajang"],
"prefix" : ["Tn"],
"suffix" : [],
"period" : {"start" : "", "end" : ""}
}],
"telecom" :[{
"system" : "phone",
"value" : "(085) 643004681",
"use" : "mobile",
"rank" : "1",
"period" : {"start" : "","end" : ""}
}],
"gender" : "male",
"birthDate" : "",
"address" : [{
"use" : "home",
"type" : "both",
"text" : "JL Hasanuddin XI/03 RT 5/7 Karanganyar Panggungrejo Kota Pasuruan",
"line" : ["JL Hasanuddin XI/03 RT 5/7","Karanganyar"],
"village" : "Karanganyar",
"district" : "Panggungrejo",
"city" : "Pasuruan",
"state" : "Jawa Timur",
"postalCode": "67131",
"country" : "Indonesia",
"period" : {"start" : "","end" : ""},
"extension" : [{
"url" : "",
"extension" : [{
"url" : "state",
"valueDisplay": "Jawa Timur",
"valueCode" : "35"
},
{
"url" : "city",
"valueDisplay": "Pasuruan",
"valueCode" : "3575"
},
{
"url" : "district",
"valueDisplay": "Panggungrejo",
"valueCode" : "3575031"
},
{
"url" : "village",
"valueDisplay": "Karanganyar",
"valueCode" : "3575031007"
},
{
"url" : "rt",
"valueDisplay": "5",
"valueCode" : "5"
},
{
"url" : "rw",
"valueDisplay": "",
"valueCode" : ""
}
]
}]
}],
"photo" : [{
"contentType" : "",
"language" : "",
"data" : "",
"url" : "",
"size" : 0,
"hash" : 0,
"title" : "",
"creation" : "",
"height" : 0,
"width" : 0,
"frames" : 0,
"duration" : 0,
"pages" : 0
}],
"period" : {"start" : "","end" : ""},
"communication" : [{
"language": {
"coding": [{
"system" : "",
"version" : "",
"code" : "id",
"display" : "Indonesian",
"userSelected": true
}],
"text": "Bahasa Indonesia"
}
},
{
"language": {
"coding": [{
"system" : "",
"version" : "",
"code" : "en",
"display" : "English",
"userSelected": true
}],
"text": "Bahasa Inggris"
}
}],
"preferred" : false,
"link" : [{
"other": {
"reference" : "Person/2",
"display" : ""
},
"type" : ""
}],
"extension" : [{
"url" : "",
"extension" : [{
"url" : "createdAt",
"valueDisplay": "",
"valueCode" : ""
},
{
"url" : "updatedAt",
"valueDisplay": "",
"valueCode" : ""
}]
}]
}
FHIR/Base/01 Individuals/05 Person.json
+221
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{
"resourceType" : "Person",
"id" : "",
"identifier" : [{
"use" : "usual",
"type" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "RM",
"display" : "Rekamedik",
"userSelected" : true
}],
"text" : "RM"
},
"system" : "",
"value" : "11380880",
"period" : {"start" : "2020-08-12", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
},
{
"use" : "usual",
"type" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "KTP",
"display" : "Kartu Tanda Penduduk",
"userSelected" : true
}],
"text" : "KTP"
},
"system" : "",
"value" : "3575016103120002",
"period" : {"start" : "2020-08-12", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
},
{
"use" : "usual",
"type" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "KARTU",
"display" : "PBI Jaminan Kesehatan",
"userSelected" : true
}],
"text" : "KARTU"
},
"system" : "",
"value" : "0002086809142",
"period" : {"start" : "2020-08-12","end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
},
{
"use" : "usual",
"type" :
{ "coding" :
[{
"system" : "",
"version" : "",
"code" : "KK",
"display" : "Kartu Keluarga",
"userSelected" : true
}],
"text" : "KK"
},
"system" : "",
"value" : "3575016103120002",
"period" : {"start" : "2020-08-12", "end" : ""},
"assigner": {
"reference" : "",
"display" : ""
}
}],
"active" : true,
"name" : [{
"use" : "usual",
"text" : "Pramuditha Sulistyorini",
"family" : "Sulistyorini",
"given" : ["Pramuditha"],
"prefix" : ["An"],
"suffix" : [],
"period" : {"start" : "2012-03-21", "end" : ""}
}],
"telecom" : [{
"system" : "phone",
"value" : "(085) 743610892",
"use" : "mobile",
"rank" : "1",
"period" : {"start" : "","end" : ""}
}],
"gender" : "female",
"birthDate" : "2012-03-21",
"deceasedBoolean" : false,
"deceasedDateTime": "",
"address" : [{
"use" : "home",
"type" : "both",
"text" : "JL Hasanuddin XI/03 RT 5/7 Karanganyar Panggungrejo Kota Pasuruan",
"line" : ["JL Hasanuddin XI/03 RT 5/7","Karanganyar"],
"village" : "Karanganyar",
"district" : "Panggungrejo",
"city" : "Pasuruan",
"state" : "Jawa Timur",
"postalCode": "67131",
"country" : "Indonesia",
"period" : {"start" : "","end" : ""},
"extension" : [{
"url" : "",
"extension" : [{
"url" : "state",
"valueDisplay": "Jawa Timur",
"valueCode" : "35"
},
{
"url" : "city",
"valueDisplay": "Pasuruan",
"valueCode" : "3575"
},
{
"url" : "district",
"valueDisplay": "Panggungrejo",
"valueCode" : "3575031"
},
{
"url" : "village",
"valueDisplay": "Karanganyar",
"valueCode" : "3575031007"
},
{
"url" : "rt",
"valueDisplay": "5",
"valueCode" : "5"
},
{
"url" : "rw",
"valueDisplay": "",
"valueCode" : ""
}]
}]
}],
"maritalStatus" : {
"coding" : [{
"system" : "",
"version" : "",
"code" : "BM",
"display" : "Belum Menikah",
"userSelected" : true
}],
"text" : "Belum Menikah"
},
"photo" : [{
"contentType" : "",
"language" : "",
"data" : "",
"url" : "",
"size" : 0,
"hash" : 0,
"title" : "",
"creation" : "",
"height" : 0,
"width" : 0,
"frames" : 0,
"duration" : 0,
"pages" : 0
}],
"communication" : [{
"language": {
"coding": [{
"system" : "",
"version" : "",
"code" : "id",
"display" : "Indonesian",
"userSelected": true
}],
"text": "Bahasa Indonesia"
}
},
{
"language": {
"coding": [{
"system" : "",
"version" : "",
"code" : "md",
"display" : "Madura",
"userSelected": true
}],
"text": "Bahasa Madura"
}
}],
"link" : [{
"target": {
"reference" : "Patient/patient-29",
"display" : "Pramuditha Sulistyorini"
},
"assurance" : "level2"
}],
"extension" : [{
"url" : "",
"extension" : [{
"url" : "createdAt",
"valueDisplay": "2025-02-19 08:04:55.000",
"valueCode" : "2025-02-19 08:04:55.000"
},
{
"url" : "updatedAt",
"valueDisplay": "2025-03-25 12:04:55.000",
"valueCode" : "2025-03-25 12:04:55.000"
}]
}]
}